Claims Associate - Individual Life

Overview At OneAmerica Financial, our purpose is to create more certainty for our customers that leads to better moments, every day. Our commitment is to advance stability and growth in every solution and relationship. We deliver financial strength that builds for generations, and we are always aspiring, looking ahead, and collaborating to achieve more, together. Come be a part of this journey with us as we champion lives! Job Summary The Individual Life Claims Associate is responsible for helping our customers maintain a sense of security by independently and effectively managing an assigned caseload of claims, in a fair and ethical manner and within all requirements and service standards. Job Summary Responsible for helping our customers maintain a sense of security by independently and effectively managing an assigned caseload of claims, in a fair and ethical manner and within all requirements and service standards. Primary duties Reviewing and processing Individual Life Claims Clearing up eligibility issues Performing adjustments Level II Associates may train, mentor, and advise less experienced associates. Level II Associates may work with escalating claim issues with minimal leadership consultation including taking on escalated calls Responsibilities Customer Experience and support 40% Effectively, accurately and timely communicate/collaborate with internal and external customers in accordance with customer service protocols. Independently investigate, collect, examine information to determine claim direction to make accurate, impartial claim determinations based on facts, policies, regulations, and department procedures, for claims including those of a complex nature. Appropriately and independently use problem solving measures and discretion to investigate claims by utilizing appropriate investigative tools. Correctly calculate and process claim benefit payments due within authority level. Prepares quality communication to agents, policy owners, insureds, beneficiaries, policyholders, medical providers, or other customer and business relationship parties. Identify, understand, and appropriately refer matters to legal counsel or escalate claim issues with minimal leadership consultation. Performance and Service expectations: 50% Maintains or exceeds departmental deadlines, requirements, service, accuracy, timeliness, and performance standards. Completes correct accounting transactions and clearing according to departmental procedures. Process Improvement 10% Demonstrate EWA and support of the OneAmerica Ways. Job Requirements Education and Certifications High School Diploma or GED. Bachelor's Degree preferred in Business Management, Operations Management, Statistics, or Insurance. Prior experience within a claim operation is preferred. Knowledge of insurance administration terms and processes are a plus. Desired minimum of 2-4 years’ work experience. Recommended Education and Certifications LOMA Work Experience Customer Service, and experience working with Microsoft applications Or any combination of education and experience which would provide an equivalent background We are currently seeking Level I & II Representative experience. #LI-SC1 Salary Range: $21.63 - 36.06 hourly This selected candidate will be expected to work hybrid in Indianapolis, IN but we may consider remote associates who are not local to Indianapolis, IN. The candidate will also be expected to physically return to the office in CA, IN or ME as business needs dictate or for team building and collaboration. Benefits Medical & prescription, dental, vision insurance Health Savings Account & Flexible Spending Accounts Paid Time Off 10 weeks 100% paid parental leave (after completing 12 months of employment) 401(k) Plan with company match Pension Plan Company paid life & disability insurance Wellness Program & Company paid employee assistance program Clinic access subject to location (Indianapolis, Charlotte, Cincinnati) This position does not allow remote work from New York. OneAmerica Financial does not have offices located in New York, and associates are not permitted to work remotely in New York. Selected employees must be able to perform the essential functions of the position satisfactorily and, if requested, reasonable accommodations will be made to enable employees with disabilities to perform the essential functions of their job, absent undue hardship. Disclaimer: OneAmerica Financial is an Equal Employment Opportunity employer and will not discriminate against an applicant or employee based on race, color, religion, creed, national origin or ancestry, ethnicity, sex (including gender, pregnancy, sexual orientation, gender identity), age, physical or mental disability, veteran or military status, genetic information, citizenship, or any other legally recognized protected status under federal, state, or local law. For all positions: This position is regulated by applicable laws. Background checks may be required as a condition of employment. Such background checks may include criminal history and other checks as applicable. To learn more about our products, services, and the companies of OneAmerica Financial, visit oneamerica.com/companies. #J-18808-Ljbffr